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March 1995

Pseudomonas Endophthalmitis Presenting as Subacute Inflammation

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1995;113(3):265. doi:10.1001/archopht.1995.01100030019009

Neither subacute postoperative inflammation nor endophthalmitis following cataract extraction is rare. However, low-grade inflammation due to Pseudomonas aeruginosa endophthalmitis is uncommon.

Report of a Case.  An 85-year-old white woman presented with a 2-week history of hypopyon that developed following an uncomplicated cataract extraction and posterior chamber intraocular lens implantation in her right eye. Because no pain was present, the eye was treated with a combination of topical tobramycin sulfate and dexamethasone sodium phosphate (Tobradex) and with atropine sulfate, both three times daily. Ocular history was notable for early glaucoma, with topical timolol maleate treatment, in both eyes and an uncomplicated cataract extraction in the left eye 1 year prior. Medical history was significant for breast cancer removed by mastectomy.Ophthalmic examination of the affected eye revealed a visual acuity of finger counting at 30 cm, intraocular pressure of 22 mm Hg, 1-mm hypopyon with 2 + to 3 + cells in the

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